Get new jobs by email
- ...A leading healthcare company is seeking a Senior Medicare Provider Hospital Reimbursement Analyst to handle complex Medicare reimbursement methodologies. This role involves maintaining outpatient reimbursement processes while collaborating with IT and other teams. Required...SuggestedWork at officeRemote work
Humana, Inc.
Nashville, TN3 days ago $76.2k - $158.8k
...renowned health organization and help shape the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy and compliance. You can do all this and more at UCLA Health....SuggestedHome officeDirect Jobs
Los Angeles, CA3 days ago- ...The Senior Reimbursement Analyst plays a key role in supporting the financial sustainability and regulatory compliance of Memorial Healthcare System through expert preparation and analysis of Medicare and Medicaid cost reports, and other governmental filings. This position...SuggestedWork experience placementWork at office
Memorial Health Care System
Florida, NY3 days ago $80.9k - $110.3k
...Become a part of our caring community and help us put health first The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst (Senior Business Systems Analysis Professional) will be an integral part of the Pricer Business and System Support team responsible for administering...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeHumana
Nashville, TN3 days ago$58.66k - $81.68k
...Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid The Reimbursement Analyst... ...accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. Responsibilities...SuggestedFull timeWork at officeMount Sinai Health System
New York, NY3 days ago- ...This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote Essential Duties & Functions Collects, analyzes all underlying data and prepares supporting documentation for: the...SuggestedRemote workWork from homeShift work
Premier Health Partners
Dayton, OH3 days ago - ...A leading health organization in Florida is seeking a Senior Reimbursement Analyst to manage government payer reimbursement processes, including Medicare Cost report filings. Candidates should have at least five years of health care reimbursement experience, including...Suggested
BayCare Health System
Tampa, FL3 days ago - ...A leading healthcare organization is seeking a Sr. Reimbursement Analyst to work remotely. The role involves analyzing data and preparing documentation for Medicare and Medicaid cost reports. Candidates must have a Bachelor's Degree in Business Administration with a focus...SuggestedRemote work
Premier Health Partners
Dayton, OH3 days ago - ...A leading health insurance company is seeking a Senior Medicare Provider Hospital Reimbursement Analyst to administer complex Medicare provider reimbursement methodologies. Responsibilities include researching Medicare payment systems, analyzing CMS regulations, and supporting...SuggestedRemote work
Humana
Des Moines, IA3 days ago - ...Clerical Work Shift Days (United States of America) Summary Assists staff in the cost report reimbursement function for the Medicare, Medicaid, and Tricare programs for a multi-facility health system. Major Job Functions The following is a summary of the...SuggestedFull timeWork experience placementShift work
Cape Fear Valley Health
Fayetteville, NC3 days ago - ...leading healthcare provider in Akron is seeking a Senior Reimbursement Analyst to manage complex reimbursement and financial needs. The ideal candidate will have 3-5 years of experience in Medicare/Medicaid regulations and healthcare accounting, along with proficiency...SuggestedFull time
Akron Children's Hospital
Akron, OH3 days ago - ...A leading health insurance company is seeking a Senior Provider Hospital Reimbursement Analyst to support Medicare reimbursement methodologies. This role involves analyzing claims, maintaining expertise in Medicare processes, and collaborating closely with IT and operational...SuggestedWork at officeRemote work
Humana
Jackson, MS3 days ago $86.2k - $118.6k
...oversees the Corporate Development team. The Corporate Strategy Analyst role is modeled after those of top-tier management... ...efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and...SuggestedFull timeTemporary workApprenticeshipWork at officeRelocationRelocation package3 days per weekHumana
Chicago, IL3 days ago- ...receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Proficient in... ...information systems. Experience / Qualifications Prior analyst experience working with inpatient hospital billing systems....SuggestedWork at officeRemote work
Jupiter Medical Center
United States1 day ago - ...receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Bachelors... ...Office and Excel. Position Summary The Senior Managed Care Analyst is responsible for providing support to the Managed Care Department...SuggestedFull timeContract workWork at office
Jupiter Medical Center
Jupiter, FL3 days ago - ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly determine...Remote work
RIT Solutions, Inc.
Lutherville Timonium, MD2 days ago - ...Description As the Medicare Advantage Risk Adjustment Performance Improvement Specialist, you will be responsible for: Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs Collaborating with IPAs on risk adjustment strategies to achieve health...
UCLA Outpatient Clinics
Los Angeles, CA3 days ago $45k - $56k
...Description Our Medicare IT Analyst - Pricing Procedures Analyst is responsible for researching and responding to interdepartmental referrals while ensuring the accuracy and effectiveness of processing and coding guidelines. This Medicare IT Analyst plays a pivotal role...Contract workFor contractorsImmediate startRemote workWPS Health Solutions
Charlotte, NC1 day ago- ...Job Description Job Title: Data Visualization Analyst I Position Summary: Risk Adjustment Data Visualization Analyst to design... ...medical claims, enrollment, and encounter data Knowledge of Medicare Advantage, ACA, or Medicaid risk adjustment programs preferred...
Convey Health Solutions
Fort Lauderdale, FL22 hours ago $65k - $75k
...Coding Analyst HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced... ...services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals...Local area- ...) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and...Remote work
Samaritan Health Services
Corvallis, OR22 hours ago - ...Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd Street-Full-Time Days- Hybrid The Reimbursement Analyst... ...with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. Responsibilities...Full timeTraineeshipWork at officeLocal areaShift work
$94.5k - $158.3k
...Job Description SUMMARY Responsible to plan, organize, direct, , and lead market research activities within the Medicare Strategy and Performance business unit; Use qualitative and quantitative methods to derive data and insights that support strategy, planning...Contract workEmergent Holdings
Detroit, MI3 days ago- ...Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research... ...Utilization Review / Medical Review experience. MCS System knowledge. Medicare Part B knowledge. CMS knowledge.Knowledge of claims systems....Full timeFor contractorsCurrently hiringWork at officeLocal areaMonday to Friday
BlueCross BlueShield of South Carolina
Knoxville, TN1 day ago - ...Description Summary: The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner...Full time
Christus Health
Irving, TX2 days ago - ...A health insurance company is looking for an Appeals Analyst to manage complex appeal requests in Knoxville, TN. The successful candidate will perform clinical reviews and compliance documentation, requiring strong analytical skills and clinical experience. The role is...Full time
BlueCross BlueShield of South Carolina
Knoxville, TN6 hours agonew $115,000 per week
Point Quest Group is seeking a dedicated and collaborative Board Certified Behavior Analyst (BCBA) to join our Healthcare & Medical Services department within the Education / Teaching / Administration field. In this role, you will provide high-quality, evidence-based behavioral...Full timeRemote workPoint Quest Group
Kansas City, MO3 days ago$27.5 - $44 per hour
...Senior Clinical Reimbursement Analyst - RN - Long Term Care Join to apply for the Senior Clinical Reimbursement Analyst - RN - Long Term... ...all operating segments across Sanford. Responsible to review Medicare/Medicaid documentation to assist nursing centers in completing...Full timePart timeLive inRemote workShift workDay shiftGood Samaritan
Madison, WI3 days ago$55 - $60 per hour
26/27 School Year | $55-60/Hour | On-Call/As-Needed | Kansas City, MO/KS | Active BCBA Certification and MO Behavior Analyst License Required About the Role As an on-call BCBA with Point Quest Group, you’ll serve as a critical behavioral expert supporting school teams...Hourly payFlexible hoursTherapeutic Services, A Member of the Point Quest Group
Kansas City, MO-104$80k - $100k
...Description Performance Analyst Location: On-site in Tampa, FL - Elite Insurance Partners Salary- $80K - $100K/ year... ...Insurance Partners (EIP) is a nationally recognized leader in the Medicare and life insurance space, consistently ranked as a Top Workplace...Work at officeElite Insurance Partners
Tampa, FL2 days ago
